Accepted in
October 2008, Beijing
Preamble
The Asian Federation
for Psychotherapy (AFP) is one of the continental organizations of
the World Council for Psychotherapy (WCP). This Code of Ethics for
psychotherapy practice is established by the Asian Federation for
Psychotherapy itself.
This Code of Ethics
serves the following purposes: it helps all the psychotherapists,
psychologists-counselors, those who seek professional services and
the general public to achieve a better understanding of the core
ideas of the professional ethics as well as professional
responsibilities in the field of psychotherapy practice. It serves an
ethical guide designed to guarantee and promote the standards of the
service provided in the field of psychotherapy. It helps to guarantee
the rights and interests of those who seek professional service as
well as that of all the psychotherapists in Asia. It helps promote
the mental health status and enhance the welfare and wellbeing of the
general public and the societies of Asian countries. This Code of
Ethics applies for all the psychotherapists registered in AFP and
thus serves as a basis for processing ethical complaints and
inquiries initiated against those who register as a member of AFP.
General
Principles
Beneficence: The
primary purpose of the service provided by psychotherapists,
psychologists-counselors
is to benefit those who seek professional service. Psychotherapists
should safeguard the rights of those who seek professional service.
They should strive to provide the appropriate service to those needed
and take great care to avoid harm.
Responsibility:
Psychotherapists should maintain the high standard of their service
and take responsibility for their own conducts. They should recognize
their professional, ethical and legal responsibilities and maintain
the reputation of the profession.
Integrity:Psychotherapists
should strive to promote the honesty and truthfulness of their
conducts in their clinical practices, research and teaching
activities.
Justice:
Psychotherapists should treat their work and those who work in their
own professional field as well as other professionals with fairness
and justice. They should take reasonable precaution to prevent
inappropriate conducts due to their own potential biases or the
limitations of their competencies and the techniques they use.
Respect:
Psychotherapists should show their respect to every single person and
respect the rights of individuals to privacy, confidentiality and
self-determination.
Ethical
standard 1: Professional Relationship
Psychotherapists should
respect those who seek professional service and establish good
professional working relationship with them in consistent with the
AFP Code of Ethics. This working relationship should serve to
encourage the growth and development of those who seek professional
service in ways that foster their interests and welfare.
1.1 Psychotherapists
should not discriminate against those who seek professional service
based on age, gender, race, sexual orientation, religion and
political beliefs, culture, physical conditions, social economic
status or any other factors.
1.2 Psychotherapists
should respect the rights of those who seek professional service
for informed consent. Before and during the processes of clinical
service, psychotherapists should first inform those who seek
professional service of the related information such as the purpose
and aim of this professional service, the nature of the
professional relationship, the techniques involved, the nature of
the working process, the possible limitations of this professional
service, the possible involvement of the interests and rights of
the third party, the right of privacy, the possible harms and
benefits caused by the professional service.
1.3 Psychotherapists
should receive appropriate fees for their professional service in
consistent with the requirements of local governments or their
employing agency or institution or the client him/herself. Before
entering the professional relationship, psychotherapists should
give clear explanation on the way of establishing their fees to
those who seek professional service.
1.4 Psychotherapists
should recognize their own potential influence on those who seek
professional service. They should take steps to prevent conditions
that may impair trust in the professional relationship or cause
dependency on the professional relationship.
1.5 Psychotherapists
should respect the personal values of those who seek professional
service. They should not make decisions for those who seek
professional service or impose their own values on those who seek
professional service.
1.6 Psychotherapists
should recognize the potential influence on those who seek
professional service due to their own advantageous status. They
should not take advantage of the trust or dependency put on them
from those who seek professional service to satisfy their own
interests or needs,or
that of the third party.
1.7 Psychotherapists
should understand that the dual relationship (e.g. develop
familial, social, financial, business, or intimate relationship
with those who seek professional service) has the potential danger
for exerting negative influence on their professional judgment and
may cause harm to those who seek professional service. They should
avoid entering dual relationship with those who seek professional
service. If a certain kind of dual relationship is inevitable, they
should take professional prevention measures, such as obtaining
formal written informed consent from those who seek professional
service, seeking professional supervision, maintaining records and
files, to ensure that this kind of dual relationship will not
impair their own judgment and cause harm to those who seek
professional service.
1.8 Psychotherapists
should not develop sexual of any kind with those who currently seek
professional service from them. They should not provide
psychotherapy for those who once had sexual or romantic intimate
relationship with them. If the current professional relationship
breaks the professional boundary (e.g. developing a sexual with
those who are seeking professional service from them),
psychotherapists should end the professional relationship
immediately and take appropriate measures to handle the situation
(e.g. seek supervision or consult other colleagues).
1.9 Psychotherapists
are prohibited to develop any sexual with those who once sought
professional service from them for a period of 3 years following
the last professional contact. Before engaging in those kinds of
relationship after 3 years following the last professional contact,
psychotherapists should consider carefully the nature of the
relationship to ensure that it is not an exploitive relationship.
1.10 Psychotherapist and
counseling psychologist should not end or suspend their
professional service arbitrarily. During the interruption such as
going on errands, taking vacation or leaving their working place
temporarily, they should make proper arrangements for the ongoing
psychotherapy.
1.11 If
psychotherapists believe that they are not appropriate to provide
service to those who seek professional service, they should explain
to them with clarity and refer them to another appropriate
psychotherapist or psychologist-counselor.
1.12 Psychotherapists
should achieve mutual understanding and respect in their
professional interactions. They should also establish active and
cooperative professional working relationship with their colleagues
to promote the quality of their services.
1.13 Psychotherapists
should respect professionals from other disciplines. They should
form an active and cooperative working relationship with
professionals from other related disciplines to promote the quality
of their services.
Ethical
standard 2: Privacy and Confidentiality
Psychotherapists have
responsibility to protect the privacy of those who seek professional
service. Meanwhile, they should also recognize that the contents and
the limitations of this privacy are protected and restricted by laws
and regulations of the local countries as well as the professional
ethical principles.
2.1 At the initiation
and throughout the process of their professional service,
psychotherapists have responsibility to explain the principles of
confidentiality as well as its limitations to those who seek
professional service. Before the initiation of family therapy, group
therapy or other kinds of psychotherapy, they should establish the
principles of confidentiality among the therapeutic groups.
2.2 Psychotherapists
should fully understand the limitations of the confidentiality. The
exceptions of the confidentiality include: (1) Psychotherapists find
out that those who seek professional service are in danger of causing
foreseeable and serious harm on themselves or others. (2) Those who
seek professional service are found to have diseases commonly know to
be both communicable and life-threatening and thus may cause harm to
others. (3) The cases of sexual abuse or other kinds of abuse
involving minors are found. (4) The disclosure of information is
demanded by laws of local countries.
2.3 If the conditions
mentioned in 2.2(1), 2.2(2) and 2.2(3) are met, psychotherapists have
obligation to warn in advance the legal guardian of those who seek
professional service or the identified third party involved. If the
condition mentioned in 2.2 (4) is met, psychotherapists have the
obligation to follow the requirements of the law of local country.
However, before the disclosure of any confidential information,
psychotherapist should demand the formal written documentation or
requirement from court or the parties involved as well as the
assurance from the court or the parties involved that this disclosure
will not cause direct or indirect harm to the clinical professional
relationship.
2.4 Only after the
written or oral form of informed consent is obtained from those who
seek professional service, can psychotherapists record the process of
psychotherapy through the use of tapes or videos, or demonstrate the
process to others.
2.5 Information and
documentations related to the professional service provided by
psychotherapists such as case records, assessment and evaluation
materials, correspondences, tape records, videotapes or other
materials are classified as professional information. These kinds of
information should be kept in a secure location and only authorized
psychotherapists can access to them.
2.6 If psychotherapists
have case discussions of their psychotherapy cases, or use clinical
cases as illustration in teaching, research activities and
publications due to the needs of professional purpose, they should
prevent the identification of those who seek professional service by
omitting the related personal information (except that the formal
written informed consent is obtained from those who seek professional
service).
2.7 Psychotherapists
should obtain formal written permissions from those who seek
professional service before the demonstration of the tape-recordings
or the videos of the sessions or the publication of the whole cases.
Ethical
standard 3: Professional Responsibility
Psychotherapists
should observe the laws and regulations of local countries as well as
professional ethical principles. They should also strive to achieve
an open, honest and accurate attitude in their communication and
work. They should base their professional work on the scientific
researches and findings. They should work with a responsible attitude
within the boundaries of professional and personal competence. They
should continue to renew and expand their professional knowledge and
actively participant in self-care activities to maintain and promote
their psychical, social and mental well-beings to best meet their
professional responsibilities.
3.1 Psychotherapists
should provide appropriate and effective professional service to
different groups of people within the boundaries of personal
competence and in consistent with the levels of their own education,
training and supervision experience as well as their work experience.
3.2 Psychotherapists
should fully recognize the importance of continuing education. They
should maintain the reasonable awareness of current scientific and
professional information in their working field. They should maintain
the competence of the skills they use and be open towards new
knowledge.
3.3 Psychotherapists
should attend to their professional competence and take reasonable
steps to seek the help from professional supervision if needed. If
they can not find professional supervision, they should try to seek
professional help from their colleagues.
3.4 Psychotherapists
should engage in self-care activities. When they are aware of any
personal physical, mental or social problems that may cause harm to
those who seek professional service, they should seek supervision or
the help of other professionals. They should be alert of the
possibility of causing harm, due to their personal problems, to those
who receive their services. If necessary, they should limit, suspend
or terminate their clinical practice.
3.5 When
psychotherapists have needs to introduce themselves in their work,
they should identify their professional qualifications, educational
degrees, and credentials in an accurate and honest manner. If
advertisements or presentations of their service are needed, they
should present their professional qualifications accurately. They
should not depreciate other professionals, or represent oneself or
one's own employing agency or institution in a false, misleading or
deceptive manner. Fraudulency is strictly forbidden.
3.6 Psychotherapists
should not take advantage of their professional status to satisfy
their personal interests, such as to satisfy their own interests,
sexual needs, and unfair exchange of properties or services, or to
satisfy those interests and needs of their family members. They
should not take advantage of the therapeutic, teaching, training and
supervisory relationship to satisfy their additional interests other
than reasonable remuneration.
3.7 If psychotherapists
need to report their professional work to the third party (e.g.
court, insurance company and etc.), they should present their work in
an honest, objective and accurate manner.
3.8 When
psychotherapists engage in their professional activities by means of
media (e.g. public lectures, demonstrations, radio or television
program, newspaper, printed articles, internet and etc.), or provide
advice or comment as professionals, they should be aware that their
statements should be based on the appropriate professional literature
and practice, and respect the facts and objectivity. They should also
be aware that their statements and conducts should be consistent with
professional ethical principles and principle of confidentiality.
Ethical
standard 4: Assessment and Evaluation
Psychotherapists should
correctly understand the importance as well as the role psychological
assessment and evaluation played in clinical practice. They should
use assessment and evaluation properly. During the process of
assessment and evaluation, Psychotherapists should consider the
personal and cultural background of examinees. They should promote
the welfares of those who seek professional service by developing and
using appropriate educational, psychological and career assessment
instruments.
4.1 The primary purpose
of using assessment and evaluation is to promote the welfares of
those who seek professional service. Psychotherapists should not
misuse assessment or evaluation in order to achieve financial
interests.
4.2 Psychotherapists
can only use assessment instruments or perform evaluation after they
have received related training on psychological assessment and have
obtained appropriate knowledge and skills for specific assessment
instruments or evaluative methods.
4.3 Psychotherapists
should respect the rights of those who seek professional service for
understanding the results of their assessment and evaluation as well
as receiving the explanation and interpretation of their results.
After assessment or evaluation, they should give explanations of
assessment or evaluation results to those examinees in an accurate,
objective and understandable manner. They should strive to avoid the
misunderstanding of the assessment or evaluation results.
4.4 When scoring or
giving explanation or interpretation by using certain tests or
assessment instruments, or utilizing certain evaluative methods,
interviews or other assessment instruments, psychotherapists should
use those instruments and methods that have affirmed reliability and
validity. If no data concerning the reliability and validity of the
assessment instrument or method are available, they should explain
the applications and limitations of assessment results and
interpretations.
4.5 Psychotherapists
have responsibility to maintain the integrity and security of
psychological testing materials (i.e. testing manuals, assessment
instruments, contracts and test items) and other assessment
instruments. They should not reveal the related testing contents to
non-professionals.
4.6 Psychotherapists
should use scientific procedures and professional knowledge to
develop assessment instrument, as well as to establish the
standardization, reliability and validity of the instrument. They
should strive to avoid biases and provide detailed explanation of its
usage.
Ethical
standard 5: Teaching, Training and Supervision
Psychotherapists should
aspire to develop meaningful and respectful professional
relationship. They should show a sincere, serious and responsible
attitude towards teaching, training and supervision activities.
5.1 The primary purpose
for psychotherapists to engage in teaching, training and supervision
is to foster the personal and professional growth and development of
students, trainees and supervisees and promote their welfares.
5.2 Psychotherapists
who engage in teaching, training and supervision should be familiar
with the professional Code of Ethics. They should remind students and
supervisees of their professional ethical obligations.
5.3 Psychotherapists
who are responsible for teaching and training should take appropriate
steps to properly design and arrange their courses and teaching plans
to ensure that teaching and training will provide appropriate
knowledge and practice experience as well as meet the requirements of
teaching goals or standards of the specific certificate.
5.4 Psychotherapists
who serve as supervisor should explain to their supervisees the
purpose, process as well as the method and standards for evaluation
of the supervision. They should inform their supervisees of the way
for dealing certain conditions during the process of supervision,
such as emergencies, and interruption or termination of the
supervisory relationship. They should give regular feedbacks to
supervisees during the process of supervision and avoid situations
where supervisees may cause harm to those who seek professional
service due to the negligence of the supervisor.
5.5 When
psychotherapists who serve as trainers or supervisors evaluate the
professional competence of students in training or supervisees, they
should take an objective attitude and give their evaluations in an
honest, fair and impartial manner.
5.6 Psychotherapists
who serve as trainers or supervisors should clearly define the
professional as well as the ethical relationship with their students
and supervisees. They are prohibited to form any therapeutic
relationship with their students or supervisees. Sexual relationships
with their students or supervisees are also prohibited. They should
not form any supervisory relationship or therapeutic relationship
with professionals who are their relatives or have intimate
relationship with them.
5.7 Psychotherapists
who serve as trainers or supervisors should clearly recognize their
advantageous status compared with their students or supervisees. They
should not take advantage of their status to exploit students or
supervisees or to satisfy the interests of their own or that of the
third party.
Ethical
standard 6: Research and Publication
Psychotherapists are
encouraged to engage in professional research activities to make
contributions to the development of their professional disciplines as
well as to facilitate and improve the understanding of related issues
within their disciplines. When conducting research, psychotherapists
should respect the dignity of participants and be aware of the
welfare of participants. They should observe scientific standards and
ethical principles governing research with human research
participants.
6.1 Psychotherapists
who conduct research with human participants should respect the basic
human rights. They should conduct research in a manner that is
consistent with pertinent ethical principles, laws, host
institutional regulations and scientific research standards with
human participants. They should take responsibility to ensure the
security of their participants and take reasonable precaution to
avoid causing harm to participants' interests.
6.2 Prior to start
their research, psychotherapists should inform participants or obtain
informed consent from participants or guardians
of participants.
They should explain to participants about the nature, purpose and
process of the research, the methods and techniques used in the
research, the possible discomfort, confidentiality and its
limitations as well as the rights and obligations of both researchers
and participants.
6.3 Participants are
free to choose not to participate in the research or withdraw from
the research. Psychotherapists are prohibited to force people to
participate in their research. They can use involuntary participants
only when they are certain that the research will not cause harm to
participants, and there is justified need to conduct the research.
6.4 Psychotherapists
should not treat participants in a deceptive or cheating manner
unless alternative procedures are not feasible and the prospective
value of the research justifies the deception. If the research
involves deception, psychotherapists should explain the reasons for
this action during the debriefing.
6.5 If control group is
needed in intervention research, after the research, the participants
in the control group should be given appropriate treatment.
6.6 When writing
research reports, psychotherapists should provide accurate
explanation and discussion about their research designs, processes,
results as well as the limitations of the research. They should not
use false or distort information or data. They should not conceal
those results that are not consistent with their hypotheses or
theoretical viewpoints. They should avoid biases or prejudice in the
discussions of their research.
6.7 When writing
research reports, psychotherapists should take due care to disguise
the identities of respective participants (except that the formal
written authorizations from participants are obtained). They should
also take care to ensure the confidentiality of the related research
materials and keep them in safety.
6.8 Psychotherapists
should not plagiarize in their publication of research paper or book.
If they cite ideas or data of other researchers or authors in their
own research paper or book, they should acknowledge researchers or
authors cited as well as the sources of data.
6.9 If the research is
jointly done with other colleagues, psychotherapists should give
credit through appropriate means to other authors in research paper
or book published. They should not publish the research paper or book
as their personal work. They should acknowledge and give special
credit through appropriate means to those who have made special
contributions to the research paper or book. If the research paper or
book is substantially based on students' course papers,
dissertations or theses, the students should be listed as principal
authors.
Ethical
standard 7: Resolving Ethical Issues
Psychotherapists should
observe pertinent laws of local countries and ethical principles in
their professional work. They should try to resolve ethical dilemmas
and communicate with people involved in a direct and open manner.
They should seek suggestion or help from their colleagues or
supervisors if needed. They should incorporate ethical practices into
their daily professional work.
7.1 Psychotherapists
can obtain AFP Code of Ethics from AFP. Lack of related knowledge or
misunderstanding of AFP Codes of Ethics is not a defense against a
charge of unethical conducts.
7.2 Once they are aware
of their negligence in their work or misunderstanding of their
responsibilities, psychotherapists should take reasonable steps to
correct their conducts.
7.3 If there is a
conflict between AFP Code of Ethics and pertinent laws and
regulations of local countries, psychotherapists should make known
their commitments to AFP Code of Ethics and try to resolve the
conflict. If this conflict can not be resolved, psychotherapists may
adhere to the requirements of laws and regulations of local
countries.
7.4 If the demands of
their employing agency or institution pose a conflict with AFP Code
of Ethics, psychotherapists should specify the nature of this
conflict and make know their commitments to AFP Code of Ethics. They
should resolve this conflict reasonably while keeping their
commitments to AFP Code of Ethics.
7.5 If they find that
other AFP members have violated a professional ethical principle,
psychotherapists should attempt first to resolve the issue informally
with the colleagues. If this informal attempt fails, they should
report violations through a proper means. If the violation is
apparent and has already caused substantial harm, or this violation
can not be solved through appropriate informal means, or can not be
solved at all, psychotherapists should report this violation to AFP
Ethics Working Panel
or other appropriate authorities, so as to maintain the reputation of
the profession as well as to protect the interests of those who seek
professional service. If psychotherapists are uncertain whether a
specific situation or conduct is an ethical violation, they may seek
consultation from AFP Ethics Working Panel
or other appropriate authorities.
7.6 Psychotherapists
have responsibility to assist the attempts of AFP Ethics Working
Panel
to investigate possible unethical conducts and to take actions
towards such conducts. Psychotherapists should be familiar with
pertinent procedures and policies for processing complaints of
ethical violations.
7.7 AFP Code of Ethics
is against filing complaints of ethical violations in an unfair and
injustice manner or as a means to take revenge.
7.8 AFP Ethics Working
Panel
is affiliated to AFP. The functions of AFP Ethics Working
Panel are
to enforce AFP Code of Ethics, to accept filings of complaints of
ethical violations, to provide explanations and interpretations
related to AFP Code of Ethics, as well as to process cases of
professional ethical violations.
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